Infertility

What would you do?

So I'm prepping for my 3rd FET in May. I have 15 frozen embryos 1 of which is a blast that wasn't transferred from a previous cycle. I have a choice to either thaw the first two and if they make it to day 5 transfer those two plus the 1 blast i already have. Or I can thaw all 14 embryos that are not at a blast stage and refreeze any embryos that make it to day 5. The thing is with the first option i lose less embryos because i would be transferring the first 2 that make the thaw and day 5. Or i can just thaw all remaining embryos and pray that what ever remaining embryos make it to day 5 will survive a refreeze. What would you do? I'm just so exhausted, I can't even think. 
TC Since 2006
Me: 33
Dx: Hydrosalpinx
DH: 34
Dx: Perfect
IUI #1-4 = BFN
BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
1 Polyp removed, Tubes are bye bye.
IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
31R, 28M, 21 fertilized! 
FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
Beta 7/10/14 14dp5dt = BFFN
FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
10/2/15 - Progesterone Check 30
10/9/15 - 14dp3dt BFN
4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
FET #3 - 5/18/16 - 





Re: What would you do?

  • Hello @Dreambig1021.  I can certainly understand being overwhelmed.  I have not even gone through my first egg retrieval yet.  If I were in your shoes, I would go with the simplest option.  To me, it seems like thawing the two embryos and using the 1 blast would be the simplest option.
    *******
    Married Jan. 2014
    Me:36 DH: 39
    TTC since August 2014, Mild PCOS + uterine fibroids
    Myomectomy June 2015- 18 fibroids removed
    IVF #1, May 2016 = 32 eggs retrieved, 12 fertilized, 7 frozen, 3 PGS normal
    FET#2, July 2016 = one embryo transferred 
    TRIGGER
    BFP! Beta = 617
    Due date = 4/9/17
    Delivery date = 3/20/17
  • Personally I would thaw all the embryos.  Yes they may not all make it to day 5, but with 14 a fair amount should. I would imagine you would be able to get a better idea of the embryo quality that way and the best chance for success. 


    ~~~~~~~~~Siggy Warning~~~~~~~~

    Me~28 DH~27 

     6-12-2010  Miscarriage. 
    3-16-2012 D&C/Miscarriage.
     Blocked Left Tube. 
    Diminished Ovarian Reserve   
    MFI - Sperm Morphology 2%.  
    MTHFR 
     Abnormal Antiphospholipid Antibodies
    April 2013 ~  1st IUI attempt - 100 mg Clomid- Canceled
    May 2013  ~ 2nd IUI attempt -100 mg Clomid- Canceled
    June 2013 ~ 3rd IUI attempt - 100 mg Clomid+ Trigger+ Progesterone~BFN
     IVF/ICSI #1 May 2014 ~ Freeze All ~ Due to OHSS
     5/1/2014 ~ 22 retrieved, 12 fertilized, 3 frozen
    5/28/2014 ~ FET#1 ~ Transferred 2 Hatching Blasts
      6/1/2014~ **BFP**
    6/9/2014 Beta #1 ~ 1022
    6/12/2014 Beta #2 ~ 3099
    6/16/2014 Beta #3 ~ >5000
    6/19/2014 First U/S ~ TWINS!!!  
    1/7/2015 Twins born @ 34 weeks

    image image Image and video hosting by TinyPic



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  • vssbrmvssbrm member
    edited April 2016
    I think I would rely on my doctors guidance on this one. I can see pros and cons of each option. I would make a list of them and then have a good discussion with your Doc and make the decision with them. I totally understand your mindstate of being exhausted, so I think using all your resources is the best way to make the decision. I find that after I know I have made the best decision for me I get a feeling if peace, I hope you are able to get that! But if it were me, prior to talking it thru w my doc, I would be leaning toward thawing all of them to see if we could get the best possible embryos. I have 14 frozen right now (Tmrw only 13!) - if I were in your shoes that is where I would be. 
    Married May 2009, TTC since November 2012 (Together since 2006 ish - had my eyes on him since 2001)
    Me: 32 (33 in May), Him: 37 (January)

    DX: Me: High Prolactin, Possible Autoimmune Disease Issues, though RE not concerned (?)  New RE has a plan!!
           Him: Minor Varicocele, low morphology, slightly low count

    History:

    Beta 5/9/2016 BFP!!
    Embryo transfer scheduled for April 28, 2016 and beta test May 9, 2016 (day after Mother's Day!)
    Transfer Meds include: Lupron Depot (4/1), Minivelle Patch (every 3rd day), Estradiol (3x daily), Amoxicillin, Progesterone in Oil, Methylprednisonlone. Lovenox and baby asprin added after transfer. 

    3/22/16 - Sono Saline ultrasound cyst to be aspirated on 4/1/16 if not cleared up by 3/29 US - It cleared on its own
    Retrieval 3/4/16 - 26 eggs retrieved, 23 mature, 20 fertilized, 14 embryos currently frozen
    Starting IVF Stims on +/- Feb 22, 2016
    HSG scheduled for 1-26-16 - All clear "beautiful uterus" (though inverted)

    Switched clinics and now prepping for IVF in February / March

    Fourth IUI -  CD3-7 100 Clomid w/ Ovidrel Trigger - December, 2015 - BFN
    Third IUI -  CD3-7 100 Clomid w/ Ovidrel Trigger - November, 2015 - BFN
    Second IUI - CD3-7 100 Clomid w/ Ovidrel Trigger - September, 2015 - BFN
    Started Prolactin Medication October 15 - Levels quickly regulated to with in normal range
    First IUI - CD3-7 100 Clomid w/ Ovidrel Trigger - August, 2015 - BFN
    After no BFPs (ever) First RE/Urologist visit in Feb 2015
    HSG w/ OB, 2014 = all clear
    Trying to conceive since November 2012
  • That is definitely a tough decision!  If I was in your situation, I would ask my doctor, "What would you advise me to do if I was your daughter?"

    This is what we asked my RE when we were trying to figure out an initial treatment plan.
    ***BFP & Child Warning***

    Me: 34, DH: 38 ~ TTC since 2014
    IUI #1-3 (Nov 2015, Feb 2016, May 2016) = BFNs
    IVF ER (July 2016) = 7 PGS normal embryos
    FET #1 (Sept 2016) = BFP! DD born 5/30/17
    FET #2 (April 2019) = BFN
    FET #3 (July 2019) = BFP! DS born 3/27/20
  • So after much discussion yesterday during my mock transfer we decided to thaw out 6 embryos which is almost about half and see what happens any remaining after the two we transfer will get refrozen. I hope this is the right decision.
    TC Since 2006
    Me: 33
    Dx: Hydrosalpinx
    DH: 34
    Dx: Perfect
    IUI #1-4 = BFN
    BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
    1 Polyp removed, Tubes are bye bye.
    IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
    31R, 28M, 21 fertilized! 
    FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
    Beta 7/10/14 14dp5dt = BFFN
    FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
    10/2/15 - Progesterone Check 30
    10/9/15 - 14dp3dt BFN
    4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
    FET #3 - 5/18/16 - 





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